Individual
ELIZABETH KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 517-6666
(614) 564-9821
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
(614) 274-1433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197130
—
OH
Enumeration date
12/16/2008
Last updated
12/31/2024
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